This tool has been developed to use publically available data from NHS digital that captures the change over time of an individual A&E provider’s performance.
Each provider may have up to 8 years’ worth of data (08/09 -15/16) but as Trusts combine and change their names over time, new codes – used in the identification of individual trusts – may be generated, and old codes become redundant, and therefore not all providers will have 8-years’ worth of data.
The data, for all the years available, is displayed graphically showing how the profile of discharges has changed over the available period, supporting a far more intuitive understanding of the changes than can be provided by tables alone. The graphs show the percentage of patients that remained in A&E for
- up to 2 hours i.e. dealt with and discharged or admitted quickly
- 3 hours 40 minutes – 4 hours i.e. discharged or admitted just before the 4 hour target
- Over 4 hours i.e. breached the 4 hour target
This information is the re-plotted with the patient’s “attendance disposal method” displayed. Using this data we are able to see if the percentage of patients being admitted late (i.e. after 3 hours 40 minutes) has increased over the years.
While the available data does not contain any clinical information, or indeed any process changes that occurred in the A&E department, it is hoped that by displaying the data in this way may provide hospital managers with a greater insight into the patient flow and discharge management of the A&E department